Ambassador Manor Nursing Center
1340 East 61st Street, Tulsa, OK 74136 · Tulsa County · (918) 743-8978
171 certified beds, about 128 residents a day · For profit - Partnership · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375168 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 24, 2024, inspectors cited 2 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).
Of 25 health citations since November 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $9,077 in the last three years; the largest was $9,077, and the latest is dated June 23, 2025.
Nurses and nurse aides worked 3.28 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
55.9% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
CMS links it to Bridges Health, an affiliated group of 33 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
611/21
209/23
302/24
108/24
210/24
406/25
307/25
403/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
10E
0F
Potential for minimal harm
0A
0B
0C
March 20, 2026Complaint inspection · 4 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to assess, monitor and intervene for 2 (#1 and #3) of 5 sampled residents reviewed for administration of medication and following physician orders. The administrator identified 124 residents who resided in the facility.
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and interview, the facility failed to accurately transcribe admission orders and ensure medications were administered for one (#1) of three sampled residents reviewed for medication administration. The administrator identified 124 residents who resided in the facility.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to notify the physician of suspected illegal drug paraphernalia found in a resident's possession for 1 (#7) of 9 sampled residents reviewed for notification of the physician. The administrator identified 124 residents who resided in the facility.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to notify law enforcement and Oklahoma State Department of Health of suspected criminal activity for 1 (#7) of 9 sampled residents reviewed for notifying law enforcement and Oklahoma State Department of Health of suspected criminal activity. The administrator identified 124 residents who resided in the facility.
July 11, 2025Complaint inspection · 3 citations
- K Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteOn 07/08/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to have a system in place to ensure residents were monitored for the safe use of electronic vaping devices. Resident #1, 6, and Resident #11 were observed to use supplemental oxygen. The latest cognition assessments showed all three residents were intact in their cognition. Their care plans showed the three residents smoked, vaped, or both. The care plan showed the residents were not to use smoking or vaping materials while in the possession of or near any type of oxygen. On 07/08/25 at 3:43 p.m., Resident #11 was observed sitting in their motorized wheelchair in their room, vaping. The two O2 concentrators present in their room were running for the resident and their roommate. Resident #11's oxygen concentrator was approximately six inches from Resident #11 as they vaped. [...]
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to maintain complete and accurate clinical records fortwo (#1 and #2) of three residents whose clinical records were reviewed for wound care documentation, andone (#6) of one resident whose clinical records were reviewed for medication administration. The alphabetical room roster showed there were 131 residents who resided in the facility.
- D Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain an effective pest control program for the abatement of flies for 1 (center) of 4 halls observed for pests. A facility policy dated 10/24/08 and titled, Pest Control Policy, showed that an abundance of flies was often associated with an unhealthy environment. The policy showed that mechanical control measures such as window screens, screen doors that opened outwardly, the use of electric fans, and black light style traps were important interventions in the abatement of flies. On 07/08/25 at 11:35 a.m., during an observation of wound care, multiple flies were observed in the room of Resident #2. On 07/08/25 at 11:38 a.m., LPN #2 waved their gloved hand in front of their face and stated the flies were terrible due to the warm weather. On 07/08/25 at 11:39 a.m., LPN #2 asked Resident #2 how they were. [...]
June 23, 2025Complaint inspection · 4 citations
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents' property was not misappropriated for 1 (#19) of 4 sampled residents reviewed for abuse. The administrator reported the facility census was 139.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to report an allegation of misappropriation of property to local law enforcement and the OSDH for 1 (#19) of 4 sampled residents reviewed for abuse. The administrator reported the facility census was 139.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview, the facility failed to thoroughly investigate an allegation of misappropriation of residents' property for 1 (#19) of 4 sampled residents reviewed for abuse. The administrator reported the facility census was 139.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and interview, the facility failed to ensure medications were secured for 1 of 2 medication carts on the South hall. The administrator identified 139 residents resided in the facility.
October 24, 2024Standard inspection, Complaint inspection · 2 citations
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure an enteral tube feeding bag was properly labeled for one (#37) of one sampled resident reviewed for tube feeding management. RN#1 identified two residents who received enteral tube feeding via continuous pump. A facility tube feeding policy, dated 06/24/10, read in part, change and label (name of resident, date and time) feeding set ( tubing and appropriate syringe) every 24 hours.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure dishes were air dried. The dietary manager identified 32 residents ate meals in their rooms.
August 14, 2024Complaint inspection · 1 citation
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview, the facility failed to prevent abuse for one (#5) of three residents who were sampled for abuse. The administrator identified 125 resident resided in the facility.
February 6, 2024Complaint inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure nephrostomy care was provided as ordered for 1 (#1) of one resident reviewed for nephrostomy care. The administrator reported the census was 117.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interview, the facility failed to ensure a prescribed medication was available for administration for one (#2) of three residents reviewed for medication administration. The administrator reported the census was 117.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure resident records were accurate for one (#1) of thirteen residents whose records were reviewed. The administrator reported the census was 117.
September 22, 2023Standard inspection, Complaint inspection · 2 citations
- E Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observation, record review, and interview, the facility failed to cover food carts while being transported from the kitchen across the facility to prevent foreign contamination. The DON identified 112 residents received nutrition from the kitchen.
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on record review and interview, the facility failed to ensure a Medicaid recipient was notified in writing when the resident's trust account was within $200 of the resouce limit for one (#28) of five sampled residents reviewed for notifications. The BOM identified 59 resident's trust were managed by the facility.
November 18, 2021Standard inspection · 6 citations
- E Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview and record review, it was determined the facility failed to provide a written copy of the bed hold policy on discharge with return anticipated for three (#31, #82, and #84) of of five residents reviewed for hospitalizations. The admission/discharge report documented 82 resident transfers to an acute care setting between 08/21/21 and 11/18/21.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review, the facility failed to provide care and treatments to meet the needs of two (#40 and #257) of 27 residents reviewed for quality of care. The facility failed to: a. provide the primary care physician the documentation and recommendations of a consulting physician for one (#40) of 27 sampled residents whose clinical records were reviewed; and b. document the interventions performed to raise a low blood sugar reading for a diabetic resident exhibiting symptoms of low blood sugar for one (#257) of 27 sampled residents whose clinical records were reviewed. The census and conditions report documented the facility census was 113 residents.
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess the fistula site upon return to the facility after dialysis treatment for one (#73) of one resident reviewed for dialysis care. The facility census and condition documented five residents received dialysis treatments.
- E Post nurse staffing information every day.
Inspectors wroteBased on observation and interview, the facility failed to post the nursing staff assigned to each hall in a prominent place readily accessible to residents on three of three halls in the facility. The census and conditions report documented 113 residents lived in the facility.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to provide pharmaceutical services to ensure correct administration of insulin for one (#57) of 4 sampled residents reviewed for medication pass. The census and conditions report documented 113 residents lived in the facility.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to remove expired medication before administration for one (#57) of four resident observed during a medication pass. The census and conditions report identified 113 residents lived in the facility.
Fire safety inspections
11 fire safety citations on file: 1 on October 24, 2024, 3 on September 22, 2023, 7 on November 18, 2021.
Every fire safety citation11 citations
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have an externally vented heating system.
- E Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 23, 2025 | Fine | $9,077 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.28 | 3.79 | 3.86 |
| Registered nurses | 0.46 | 0.34 | 0.69 |
| All nursing staff on weekends | 3.37 | 3.44 | 3.42 |
| Nurse aides | 2.13 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 55.9% | 55.5% | 45.8% |
| Registered nurse turnover | 42.9% | 53.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.24 on weekdays and 3.37 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.28 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.28 | 0.46 | 3.24 | 3.37 | 0.0% | 0 of 90 | 128 |
| Oct to Dec 2025 | 3.46 | 0.45 | 3.45 | 3.47 | 0.0% | 0 of 92 | 125 |
| Jul to Sep 2025 | 3.62 | 0.55 | 3.60 | 3.66 | 0.0% | 0 of 92 | 129 |
| Apr to Jun 2025 | 3.37 | 0.59 | 3.37 | 3.39 | 0.0% | 0 of 91 | 132 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 2.9 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.5 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.8 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.0 | 13.7 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.2 | 17.5 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.8 | 27.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.7 | 16.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 3.0 | 1.8 |
Owners and operators
Legal business name: AMBASSADOR OPERATIONS LLC. CMS links this home to Bridges Health, a group of 33 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bridges Employee Stock Ownership Trust | 5% or greater indirect ownership interest | Organization | 100% | 12/31/2020 |
| Deroin, Kristy | Contracted managing employee | Individual | 03/01/2016 | |
| Deroin, Kristy | W-2 managing employee | Individual | 03/01/2016 | |
| Deroin, Kristy | Corporate director | Individual | 03/01/2016 | |
| Coble, William | Corporate officer | Individual | 12/31/2020 | |
| Bridges Esop, Inc | Operational/managerial control | Organization | 12/31/2020 | |
| Coble, William | Operational/managerial control | Individual | 12/31/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on March 20, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on March 20, 2026: "Ensure that residents are free from significant medication errors."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on March 20, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on March 20, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.37 hours per resident per day, below the Oklahoma average of 3.44.
Other nursing homes nearby
- The Villages at Southern Hills Tulsa, 0.5 mi · 5 of 5 stars · 3 citations
- Colonial Manor Nursing Home Tulsa, 1 mi · 4 of 5 stars · 18 citations
- Zarrow Pointe Tulsa, 1.2 mi · 5 of 5 stars · 19 citations
- Sherwood Manor Nursing Home Tulsa, 2.3 mi · 2 of 5 stars · 31 citations
- Southern Hills Rehabilitation Center Tulsa, 2.5 mi · 3 of 5 stars · 22 citations
- University Village Retirement Community Tulsa, 2.6 mi · 4 of 5 stars · 15 citations
- Montereau, Inc. Tulsa, 3.2 mi · 3 of 5 stars · 20 citations
- Grace Skilled Nursing and Therapy Jenks Jenks, 3.2 mi · 2 of 5 stars · 33 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is Ambassador Manor Nursing Center's Medicare star rating?
- CMS rates Ambassador Manor Nursing Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ambassador Manor Nursing Center get at its last inspection?
- 2 health deficiencies at the standard inspection on October 24, 2024. The Oklahoma average is 6.4.
- Has Ambassador Manor Nursing Center been fined?
- Yes. CMS lists 1 fine totaling $9,077 in the last three years.
- Does Ambassador Manor Nursing Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Ambassador Manor Nursing Center?
- CMS lists 7 owners and managers, and links the home to Bridges Health. Legal business name: AMBASSADOR OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.